Healthcare Provider Details

I. General information

NPI: 1356140636
Provider Name (Legal Business Name): BEE YOU ABA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4111 ROSE LAKE DR # 5964E
CHARLOTTE NC
28217-2829
US

IV. Provider business mailing address

4111 ROSE LAKE DR # 5964E
CHARLOTTE NC
28217-2829
US

V. Phone/Fax

Practice location:
  • Phone: 240-584-7130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY WALKER
Title or Position: OWNER
Credential:
Phone: 240-584-7130